Novant Health Presbyterian Medical Center-Snu

In the surveyor’s words

From the most serious findings on record at Novant Health Presbyterian Medical Center-Snu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF814Apr 19, 2023

  Based on observations and staff interviews the facility failed to remove loose garbage and debris from underneath 1 of 1 trash lift located in the back of the kitchen area with no closed door separating the kitchen and food was being prepared a short distance away. This practice had the potential to impact sanitary conditions, food served to residents and attract pests/rodents. The findings included: A continuous observation (with the Dietary Director and Lead Chef) of the kitchen occurred on 4/18/23 from 11:17 AM - 12:45 PM. The observation revealed trash and debris under the trash lift in the kitchen area which was not separated by a closed door and food was being prepared for residents a short distance away. […]

• No harm, potential for more than minimal, patternF814Aug 15, 2024

  Based on observations and staff interviews, the facility failed to keep the area around the garbage compacter free of accumulated trash and debris for 1 of 1 garbage compacter observed. The findings included: A continuous observation was completed of the garbage compacter area on 8/12/2024 from 4:07 PM to 4:15 PM. The observation revealed the following items outside of the garbage compacter: 1 bag of trash, 3 to 4 used disposable gloves, 1 medium clear plastic bag with 4 exposed bread slices on the ground, 1 large cardboard box that was flat. The area was observed to be malodorous and had a lingering foul/ sour smell. There was wet, thick blackish/ brownish sludge matter observed around the area of the garbage compacter. […]

• No harm, potential for more than minimal, patternF812Apr 19, 2023

  Based on observations and staff interviews, the facility failed to discard expired food items and remove grease build up on and around the fryer used to prepare food. These practices had the potential to affect food served to 7 of 7 residents. The findings included: A continuous observation (with the Dietary Director and Lead Chef) of the kitchen occurred on [DATE] from 11:17 AM - 12:45 PM. The observation revealed the following: a) One gallon container of opened blue cheese dressing in the kitchen prep area, that expired on [DATE]. b) One gallon container of olive oil salad dressing in the kitchen prep area, that expired [DATE]. […]

• No harm, potential for more than minimal, isolatedF695Aug 15, 2024

  Based on observations, staff interviews, and record review, the facility failed to apply signage indicating the use of oxygen outside the resident's room for 2 of 2 residents reviewed for oxygen use (Resident #9 and Resident #5). The findings included: 1. Resident #9 was admitted on [DATE] with diagnoses of chronic obstructive pulmonary disease. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #9 was cognitively intact and coded for the use of oxygen. A physician's order for Resident #9 dated 7/25/24 for 2 liters per minutes (LPM) oxygen continuous via nasal cannula. During an observation on 8/12/24 at 12:05 pm no signage for oxygen use was to be found anywhere near to resident's room entrance. […]

• No harm, potential for more than minimal, isolatedF759Aug 15, 2024

  Based on observations, record review and staff interviews, the facility failed to maintain a medication error rate of 5% or less as evidenced by 2 medication errors out of 26 opportunities. This resulted in a medication error rate of 7.69% for 1 of 3 residents (Resident #1) observed during medication administration observation. The findings included: A physician order dated 08/12/24 revealed Resident #1 was to receive tamsulosin (Flomax) capsule 0.4 milligrams (mg) daily for acute urinary retention and pantoprazole sodium (Protonix) EC (enteric coated) tablet 40mg daily for acid reflux. Administration instructions for both medications were: Do not open or crush. During the medication pass observation on 08/14/24 at 9:14 AM: 1a. Nurse #2 prepared medications for Resident #1. […]